Supporting doctors, protecting patients GMCs Future Strategy SMEC - PowerPoint PPT Presentation

“Supporting doctors, protecting patients” GMC’s Future Strategy SMEC 2018

The GMC’s mission and responsibilities To prevent harm and drive improvement in patient care by setting, upholding and raising standards for medical education and practice across the UK.

Our work in context – GMC in Scotland Scottish Academy B of AM SAMD

Our work in context – medical profession in Scotland There are more GPs per head of population  in Scotland than any other country in the UK 52% of licensed doctors in Scotland are  female, compared to the UK average of 47% With 4,958 medical students Scotland has  the highest ratio of Medical Students to doctors (~1:4) Scotland has a higher reliance on UK-trained  doctors than the UK average, with a lower proportion of non-UK graduates (17%) Given many IMGs are also BME, the lower  proportion of BME doctors in Scotland (19%) is partly explained by this Rates of investigations ending in sanction  or warning were almost the same across the UK

Our work in context – systems under pressure Four warning signs supply of new doctors has not kept pace with demand  dependence on non-UK qualified doctors increased in some specialties  at risk of becoming a less attractive place for overseas doctors to work  strain on doctors training and being trained continues  Four priorities for the healthcare systems maintain a healthy supply of good doctors  Help the medical profession evolve to meet the future needs of patients and healthcare  reduce the pressure and burden on doctors wherever possible  improve workplace culture; employment and training more supportive and flexible 

The GMC’s changing approach to regulation Challenge of influencing patient safety through supporting doctors, partnerships, • Proactive but proportionate prevention and innovative risk-based • Range of regulatory tools/models regulatory strategies and soft power • Contextually sensitive • Problem-centric • Risk mitigation Complexity/Scope • Upstream and supportive • Focus informed by data/evidence • Anticipate & respond • Collective assurance Challenge of limited • On the pitch awareness, relevance, • Independent co-regulation limited resources/ • Partnership with patients infrastructure and damaged & doctors reputation • Learning organisation Challenge of governance Reactive transformation, revalidation, FTP In the castle reform, MPTS, growth, Self Regulation understanding and sharing our Professional Dominance data, demonstrating relevance, Ground hog day working with others, coming out of the castle Time

Aim 1: Supporting doctors in maintaining good practice Where Where we’ve come we’re heading from Increased initiatives to support Investing resources in supporting The majority of our focus, doctors in delivering good practice all doctors to maintain good resource and expenditure on and prevent harm to patients. practice. Early, supportive fitness to practise issues where Implementation of revalidation to interventions targeted to areas harm to patients or doctors has check that all doctors are up to date of greatest need. already occurred. and fit to practise .

Aim 1: Supporting doctors in maintaining good practice What we are already doing? In 2017 we held interactive guidance training sessions with 4,000 doctors and medical  students in Scotland Introducing a medical licensing assessment (MLA) by 2022, taking account of the feedback  on our 2017 consultation proposals. Expanding our Welcome to UK Practice (WtUKP) Programme  Embedding our Generic Professional Capabilities in training curricula  Taking forward work on Credentialing and Flexible Training Pathways with partners across  the UK Undertaking a review of Health and Disability in medicine  Using our data and partner insights to identify emerging concerns about training  environments and acting on those threats to doctors’ training and patient safety e.g. North Middlesex and East Kent Undertaking joint research with the Scottish Government on communication failures in  care to assist us in identifying opportunities to support doctors Commissioned an independent review of how we can best support the health and  wellbeing of the medical profession – led by Dame Denise Coia

Aim 1: Supporting doctors in maintaining good practice By 2020 we expect… Continued our work to Participation in our Plans for the We will have piloted an embed Generic WtUKP Programme by introduction of MLA upstream regulatory Professional doctors new to UK and a linked intervention on three Capabilities and practice will have assessment of themes of identified harm support more increased from 33% to professionalism using our research and flexibility in how 80%. will have been data capabilities, such doctors train and confirmed . as doctor-patient work communication failure.

Aim 2: Strengthening collaboration with our regulatory partners across the health services Where we’re heading Where we’ve come from A more integrated form of regulation with a shared approach to Improved information sharing Regulators pursuing identification and resolution of and collaboration on a range of objectives independently, concerns and opportunities for joint initiatives. with limited collaboration and improvement. Supporting local information sharing. cultures of professionalism, learning and openness

Aim 2: Strengthening collaboration with our regulatory partners across the health services What we are doing already? We are working with HIS and NES through the National Information Sharing Group to improve  the use of our data for quality care in Scotland We’re working with Employers in Scotland – through the Scottish Government Management  Steering Group – to use our data to support workforce development We are continuing our work on the UK Medical Education Database (UKMED) with partners  including NES, UKFPO, MSC and Jon Dowell so that we can better understand entry into and progression through medical education and training We convene the UK Network of Medical Professionalism Teachers – supporting their work in  the teaching of professionalism in Medical Schools Preparing to review our approach to Education QA and Enhanced Monitoring  We are working with partners to progress initial research to help characterise ‘failing  environments’ with a particular focus on PG Training environments We are co-producing guidance on Reflection and Reflective Practise with the BMA, the  Academy and other professional bodies – with a specific focus on Doctors in Training

Aim 2: Strengthening collaboration with our regulatory partners across the health services By 2020 we expect… We will have piloted a We will have consulted We will have Our stakeholder complaints handling on a new approach to piloted joint feedback surveys approach based on the Education Quality regulatory record ‘local first’ principle. Assurance and piloted interventions for improvements in a protocol for how three themes of perceptions of our organisations will work identified patient collaborative working. together risk/harm. when training environments give rise to the most serious concerns.

Aim 3: Strengthening our relationship with the public and the profession Where we’ve come from Where we’re heading Pre-revalidation, the only contact we had with the profession was at registration We have been speaking out Valued by the profession, and if doctors were referred into our occasionally but not consistently. and seen to speak out about fitness to practise processes. The profession has recently challenges faced by doctors in questioned our independence and meeting our standards and relevance. providing high quality care to patients. Trusted by the public who have dealings with us.

Aim 3: Strengthening our relationship with the public and the profession What are doing already? We work closely with the Scottish CMOs team to support the realisation of Realistic  Medicine and in particular are working with them now to review our guidance on Consent We have hosted 69 meetings with Patients and Carers in Scotland to support them to  understand our processes better when part of a GMC investigation. We engage with every medical school in the UK to support the teaching of  professionalism and help prepare students for being part of a regulated profession – our longstanding work with Scottish Medical Schools in this area has been used as good practise to inform our related programme in other parts of the UK We have developed a range of digital mobile apps which provide doctors with support  on their CPD and how to apply our guidance in education, training and practise Extended our national surveys to Trainers and exploring the feasibility of similar surveys  for other profession cohorts including SAS doctors Updating guidance for the Recognition and approval of trainers 